新疆某医院医护人员危机脆弱性、社会支持及应对方式对心理危机的影响

职业与健康 ›› 2023, Vol. 39 ›› Issue (21): 2959-2964.

新疆某医院医护人员危机脆弱性、社会支持及应对方式对心理危机的影响

阿提凯木·尼娅孜¹, 迪丽热巴·买买提热依木¹, 刘金宝²

1.新疆医科大学公共卫生学院,新疆乌鲁木齐 830054;
2.新疆第二医学院预防医学教研室,新疆克拉玛依 834000

收稿日期:2023-04-12 修回日期:2023-05-09 出版日期:2023-11-01 发布日期:2026-03-26
通信作者: 刘金宝,教授,E-mail：283474978@qq.com
作者简介:阿提凯木·尼娅孜,女,在读硕士研究生,研究方向为卫生事业管理。

Impact of crisis vulnerability,social support and coping style on psychological crisis of medical staff in a hospital in Xinjiang

Atikaimu Niyazi¹, Dilireba Maimaitireyimu¹, LIU Jinbao²

1. School of Public Health,Xinjiang Medical University,Urumqi Xinjiang 830054,China;
2. Department of Preventive Medicine,Xinjiang Second Medical College,Karamay Xinjiang 834000,China

Received:2023-04-12 Revised:2023-05-09 Online:2023-11-01 Published:2026-03-26
Contact: LIU Jinbao,Professor,E-mail：283474978@qq.com

摘要/Abstract

摘要： 目的分析新疆某医院医护人员危机脆弱性、应对方式、社会支持对心理危机的影响,探讨其之间相关性,提出促进医护人员心理健康的措施。方法 2022年1—3月,以新疆维吾尔自治区某县二级医院医护人员作为调查对象,采用症状自评量表（symptom checklist 90,SCL-90）、“危机脆弱性”测验问卷、社会支持评定表（social support sating scale,SSRS）、特质应对方式（trait coping style questionnaire,TCSQ）进行问卷调查,并对数据进行分析。结果新疆某县二级医院医护人员SCL-90得分为（131.24±34.40）分,不同年龄、学历、职称、工龄医护人员的SCL-90得分比较,差异均有统计学意义（均P<0.05）。医护人员危机脆弱性与心理危机呈正相关（r=0.565,P<0.01）;社会支持与心理危机呈负相关（r=-0.374,P<0.01）;积极应对与心理危机呈负相关（r=-0.356,P<0.01）,而消极应对与心理危机呈正相关（r=0.535,P<0.01）。积极应对在危机脆弱性与心理危机间的调节效应显著（P<0.01）;消极应对在社会支持与心理危机之间的调节效应显著（P<0.01）。结论新疆某县二级医院医护人员心理危得分较高,需要对他们心理健康状况加强重视。可以给予足够的社会支持,引导采取积极的应对方式,减少消极应对行为,从而降低危机脆弱性水平以尽快改善其心理健康状况。

关键词: 医护人员, 心理危机, 危机脆弱性, 社会支持, 应对方式, 调节作用

Abstract: Objective To analyze the impact of crisis vulnerability,coping style and social support on psychological crisis of medical staff,explore the correlation between them,and put forward measures to promote the mental health of medical staff. Methods The medical staff of a second-level hospital in a county of Xinjiang Uygur Autonomous Region was selected as the research object from January to March 2022. The questionnaire investigation was conducted by the symptom checklist 90（SCL-90）,crisis vulnerability questionnaire,social support sating scale（SSRS） and trait coping style were used questionnaire（TCSQ）,and the data were analyzed. Results The score of SCL-90 of medical staff of a second-level hospital in a county of Xinjiang was （131.24±34.40）points,and the differences in score of SCL-90 were statistically significant among medical staff with different age,educational background,professional title and working age（all P<0.05）. The crisis vulnerability of medical staff was positively correlated with psychological crisis（r=0.565,P<0.01）,the social support was negatively correlated with psychological crisis（r=-0.374, P<0.01）,the positive coping was negatively correlated with psychological crisis（r=-0.356,P<0.01）,while negative coping was positively correlated with psychological crisis（r=0.535,P<0.01）. The positive coping had a significant moderating effect on crisis vulnerability and psychological crisis（P<0.01）,and the negative coping had a significant moderating effect on social support and psychological crisis（P<0.01）. Conclusions The medical staff of a second-level hospital in a county of Xinjiang have a high score of psychological risk,so more attention should be paid to their mental health status. Adequate social support can be provided to guide positive coping styles and reduce negative coping behaviors,thereby reducing the level of vulnerability to crisis and improving their mental health status as soon as possible.

Key words: Medical staff, Psychological crisis, Crisis vulnerability, Social support, Coping style, Regulating effect

中图分类号:

R395.6

阿提凯木·尼娅孜, 迪丽热巴·买买提热依木, 刘金宝. 新疆某医院医护人员危机脆弱性、社会支持及应对方式对心理危机的影响. [J]职业与健康, 2023, 39(21): 2959-2964.

Atikaimu Niyazi, Dilireba Maimaitireyimu, LIU Jinbao. Impact of crisis vulnerability,social support and coping style on psychological crisis of medical staff in a hospital in Xinjiang. [J]OCCUPATION AND HEALTH, 2023, 39(21): 2959-2964.

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